NPIMap

Organization Active NPI

Vanguard Spine & Sport, PLLC

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1629629050
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
VANGUARD SPINE & SPORT, PLLC
Practice address
1533 N Shepherd Dr Ste 240
Houston, TX 77008-3755
Phone
(832) 831-8656
NPI assigned
Sep 26, 2019
Organization subpart
Yes
Parent organization
VANGUARD SPINE & SPORT, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 3, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lance IguessNPI 1821362971
Title
Owner
Phone
(832) 831-8656

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1533 N Shepherd Dr Ste 240
Houston, TX 77008-3755

Mailing address

8800 Katy Fwy Ste 201
Houston, TX 77024-1645
Phone (832) 831-8656

National Provider Directory

National Provider Directory
Part of
Vanguard Spine Sport PLLC

Locations

8800 Katy Fwy
Ste 105
Houston, TX 77024
Phone (281) 948-4111

8800 Katy Fwy
Ste 201
Houston, TX 77024
Phone (832) 831-8656

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1569456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714694400000",
    "number": "1629629050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8800 KATY FWY STE 201",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770241645",
            "telephone_number": "832-831-8656",
            "fax_number": "832-831-8674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1533 N SHEPHERD DR STE 240",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770083755",
            "telephone_number": "832-831-8656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANGUARD SPINE & SPORT, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VANGUARD SPINE & SPORT, PLLC",
        "enumeration_date": "2019-09-26",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A",
        "authorized_official_last_name": "IGUESS",
        "authorized_official_first_name": "LANCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-831-8656"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.